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Organization
KINZIE THERAPY & CONSULTING PLLC
Active
Organization
KINZIE THERAPY & CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYA KINZIE LCSW, EDD (MANAGER)
(847) 644-0940
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE STE 317, EVANSTON, IL 60201-4972
(847) 644-0940
Mailing address
3611 HILLSIDE RD, EVANSTON, IL 60201-4936
(847) 644-0940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/07/2025
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